Revenue Integrity Specialist - Healthcare

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Medical Revenue Manager Type: Contract Compensation: $88/hour Location: Remote Role Responsibilities Oversee charge capture , charge integrity , and revenue integrity functions to ensure accurate and compliant charge submission.

Evaluate AI-generated charge review outputs , coding recommendations, and revenue integrity alerts for accuracy and compliance. Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments. Manage and maintain the charge description master (CDM) , ensuring accuracy of charge codes, revenue codes, and pricing.

Analyze charge patterns to identify revenue leakage opportunities and implement corrective action plans. Collaborate with clinical, coding, and billing teams to resolve charge capture discrepancies. Qualifications Must-Have 5+ years of experience in charge capture , charge integrity , revenue integrity , or healthcare compliance.

Deep knowledge of CDM management , revenue codes, charge capture workflows, and billing compliance. Strong understanding of CMS billing guidelines , Medicare Part A/B billing rules, and OIG compliance requirements. Proficiency with charge capture systems , EHR platforms , and revenue integrity tools .

Experience conducting charge audits and developing corrective action plans. Exceptional written and verbal English communication skills. High attention to detail with the ability to identify billing errors and compliance risks in AI-generated outputs .

Preferred CPC , CCS , CHFP , or CRCS credential. Experience with 340B drug program charge capture and compliance. Background in hospital, health system, or physician group revenue integrity operations.

Familiarity with AI tools and comfort evaluating AI-generated charge and billing content. Experience with revenue integrity software platforms and analytics tools . Application Process (Takes 20–30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily.

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